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45 Years
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Emergency
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Your Trusted Physical Therapy Partner in Kerrville, TX
Kerrville Physical Therapy Center has been serving the Hill Country community since June 1981, founded by Thomas C. Nemky, P.T. Our practice is dedicated to delivering personalized, integrative, and skilled physical therapy services that prioritize patient well-being. With over four decades of experience, we combine compassionate care with advanced treatment techniques to address a wide range of musculoskeletal and neurological conditions. Our team of licensed physical therapists and support staff is committed to excellence, integrity, and quality rehabilitation through individualized treatment plans.

We utilize cutting-edge equipment like the AlterG Anti-Gravity Treadmill to enhance recovery outcomes while fostering a professional, fun, and caring environment. Our mission is to help patients achieve pain-free living through evidence-based therapies, ergonomic education, and targeted rehabilitation strategies tailored to each individual's needs.
Services
Back Pain Relief Sciatica Treatment Neck Pain Therapy Shoulder Rehabilitation Knee Pain Management Post-Surgical Rehab Sports Injury Recovery Arthritis Management Balance Disorders Manual Therapy
Details
  • Year established: 1981
Highlights and features
  • We offer 40+ years of specialized physical therapy experience in Kerrville.
  • Our treatment plans utilize advanced equipment like the AlterG Anti-Gravity Treadmill.
  • We provide personalized care combining manual therapy and therapeutic exercise.
  • Our team maintains a compassionate, patient-centered treatment environment.
  • We guarantee measurable improvements in mobility and pain reduction.
What people say
Amazing staff Personalized attention Proven results Supportive environment Professional expertise
Services
Back Pain Relief
Our back pain treatment combines manual therapy, therapeutic exercise, and ergonomic education to address acute and chronic conditions. We specialize in herniated disc rehabilitation, degenerative disc disease management, and posture correction through individualized programs. Patients receive targeted interventions that reduce inflammation, restore mobility, and prevent future injuries while maintaining daily functionality.
Post-Surgical Rehabilitation
Customized rehabilitation programs accelerate recovery after orthopedic surgeries like joint replacements and rotator cuff repairs. Our protocol includes progressive strengthening, range-of-motion exercises, and pain management techniques that follow surgical guidelines. We coordinate care with referring physicians to ensure optimal healing while minimizing complications during the recovery process.
Sports Injury Recovery
Specialized treatment for sports-related injuries focuses on restoring performance capabilities through sport-specific training and functional movement analysis. Our approach combines soft tissue mobilization, neuromuscular re-education, and biomechanical correction to return athletes to competition safely. We address common injuries like ACL tears, meniscus damage, and shoulder instability with evidence-based protocols.
Balance and Fall Prevention
Comprehensive assessment identifies balance deficits through standardized testing and gait analysis. Treatment incorporates vestibular rehabilitation, proprioceptive training, and strength-building exercises to improve stability. Our program specifically addresses age-related balance disorders, post-concussion syndrome, and neurological conditions that affect coordination and spatial awareness.
Manual Therapy
Skilled hand techniques address joint restrictions and soft tissue dysfunction through mobilization, manipulation, and myofascial release. This approach effectively treats neck pain, joint stiffness, and muscle tension by improving circulation, reducing inflammation, and restoring natural movement patterns. Sessions integrate joint mobilizations with muscle energy techniques for comprehensive musculoskeletal rehabilitation.
People
Thomas C. Nemky
Owner
Founder with over 40 years of physical therapy experience in Kerrville, specializing in orthopedic rehabilitation and clinical practice management.
Madeline Smith
Physical Therapist
Doctor of Physical Therapy with expertise in sports rehabilitation and post-surgical recovery, emphasizing functional movement restoration.
Laura Ortiz
Physical Therapist Assistant
Certified PTA with specialization in therapeutic exercise programs and patient education for chronic pain management.
CY Guthrie
Physical Therapist Assistant
Experienced PTA focusing on geriatric rehabilitation and fall prevention programs for senior patients.
Kurt Nemky
Business Manager
Healthcare administrator overseeing operations with emphasis on patient experience and clinical quality standards.
Questions
What conditions do you treat?
We treat back pain, sciatica, neck pain, shoulder injuries, knee conditions, sports injuries, post-surgical rehabilitation, and balance disorders using evidence-based physical therapy techniques.
Do I need a referral for physical therapy?
Texas law allows direct access to physical therapy for 15 days without a physician referral, though insurance requirements may vary.
What should I wear to sessions?
Wear comfortable clothing that allows movement and exposes treatment areas, such as athletic wear and supportive footwear.
How long do therapy sessions last?
Initial evaluations take 60 minutes, with follow-up sessions typically lasting 30-60 minutes based on individual treatment plans.
What payment options are available?
We accept cash, checks, credit/debit cards, and offer payment plans for uninsured patients while verifying insurance benefits for covered services.
Can you help with post-surgical recovery?
Yes, our post-surgical rehabilitation programs follow physician protocols to restore mobility, reduce pain, and accelerate healing after joint replacements and orthopedic procedures.